摘要
目的探讨采用血管超声联合检测颈外动脉-颈内动脉窃血的可行性。方法选择2016年5月~2018年7月齐齐哈尔医学院附属第二医院脑血管狭窄诊断与介入治疗中心诊治的颈总动脉重度狭窄/闭塞患者28例,采用经颅多普勒超声(TCD)和颈动脉超声联合检测颈外动脉-颈内动脉窃血。结果单纯颈总动脉重度狭窄/闭塞患者颈动脉超声显示,颈总动脉分叉处典型U形图像8例;TCD显示,颈外动脉血流方向逆转,流速代偿性增快。颈总动脉重度狭窄/闭塞病变同侧颈内动脉或颈外动脉重度狭窄患者颈动脉超声显示,不典型U形图像13例;TCD显示,颈内动脉或颈外动脉血流速度显著增快,部分可见颈外动脉血流方向逆转。7例患者因伴有颈内动脉闭塞,无U形图像。结论采用血管超声联合检测可准确识别颈外动脉-颈内动脉窃血。
Objective To study whether carotid ultrasonography combined TCD ultrasonography can detect external and internal carotid artery stealing.Methods Twenty-eight severe common carotid artery stenosis/occlusion patients were included in this study.Their external and internal carotid artery stealing was detected by TCD ultrasonography combined with carotid ultrasonography.Results Carotid ultrasonography showed a typical U-shape image of severe common carotid artery stenosis/occlusion at its bifurcation(8 cases)and TCD ultrasonography revealed reversed external carotid artery blood flow and increased blood flow velocity compensation.Carotid ultrasonography showed an atypical U-shape image of severe common carotid artery stenosis/occlusion in patients with severe ipsilateral internal or external carotid artery stenosis(13 cases)and TCD ultrasonography revealed increased blood flow in internal or external carotid artery and reversed external carotid artery blood flow.Conclusion Carotid ultrasonography combined TCD ultrasonography can accurately detect external and internal carotid artery stealing in severe common carotid artery stenosis/occlusion patients.
作者
何冬若
李卉
韩国超
王余广
于海明
刘洋
王佳楠
He Dongruo;Li Hui;Han Guochao;Wang Yuguang;Yu Haiming;Liu Yang;Wang Jianan(Center for Diagnosis and Interventional Treatment of Cerebrovascular Stenosis,Second Affiliated Hospital of Qiqihar Medical College,Qiqihaer 161006,Heilongjiang Province,China)
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2019年第12期1253-1255,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
超声检查
多普勒
经颅
颈外动脉
颈动脉狭窄
颈总动脉
血流速度
ultrasonography
Doppler
transcranial
carotid artery
external
carotid stenosis
common
blood flow velocity
